• 제목, 요약, 키워드: Chronic low back pain

검색결과 361건 처리시간 0.042초

Investigation of High-Sensitivity C-reactive Protein and Erythrocyte Sedimentation Rate in Low Back Pain Patients

  • Park, Chan-Hong;Lee, Sang-Ho
    • The Korean Journal of Pain
    • /
    • v.23 no.2
    • /
    • pp.147-150
    • /
    • 2010
  • Background: Chronic low back pain can be a manifestation of lumbar degenerative disease, herniation of intervertebral discs, arthritis, or lumbar stenosis. When nerve roots are compromised, low back pain, with or without lower extremity involvement, may occur. Local inflammatory processes play an important role in patients with acute lumbosciatic pain. The purpose of this study was to assess the value of erythrocyte sedimentation rate (ESR) and high sensitivity C-reactive protein (hsCRP) measurements in patients with chronic low back pain or radiculopathy. Methods: ESR and hsCRP were measured in 273 blood samples from male and female subjects with low back pain and/or radiculopathy due to herniated lumbar disc, spinal stenosis, facet syndrome, and other diseases. The hsCRP and ESR were measured prior to lumbar epidural steroid injection. Results: The mean ESR was 18.8 mm/h and mean hsCRP was 1.1 mg/L. ESR had a correlation with age. Conclusions: A significant systemic inflammatory reaction did not appear to arise in patients with chronic low back pain.

요가 요통체조와 요부 신전근 지구력 운동이 만성요통 환자의 통증에 미치는 영향 (The Effects of Yoga Low Back Pain Exercise and Lumbar Extensor Muscle Endurance Exercise on Chronic Low Back Pain Patients)

  • 강승수;구봉오
    • The Journal of Korean Physical Therapy
    • /
    • v.24 no.2
    • /
    • pp.107-112
    • /
    • 2012
  • Purpose: In the present study, the degree of subjective pain in chronic low back pain patients through the course of six week of yoga low back pain exercise and lumbar extensor muscle strengthening training was analyzed, and a systematic and effective home exercise therapy program was proposed. Methods: For this study, we sampled 21 random patients with chronic low back pain who were receiving outpatient treatment at G Hospital Pusan, and conducted experiment for six weeks by applying yoga low back pain exercise+modalities (7) lumbar extensor muscle endurance exercise+ modalities (7) and modalities (7). To measure the degree of pain, the visual analogue scale (VAS) and Oswestry Low Back Pain Questionnaire were used. Pain was measured before the experiment and after six weeks. Results: Significant differences were observed between yoga, extensor muscle endurance exercise and modalities (VAS=0.00 Oswestry=0.00). The yoga and extensor endurance muscle exercise reduced low back pain by more than the modalities. Conclusion: This study will be used to develop a preventive and reduction method of LBP. Therefore, Yoga and extensor muscle endurance exercise are appropriate for use as a home program exercise to reduce low back pain in patients.

만성요통 환자에 대한 요통관리프로그램의 효과 (Effects of the Back Pain Management Program on Patients with Chronic Low Back Pain)

  • 신인호;조경숙
    • Journal of muscle and joint health
    • /
    • v.21 no.2
    • /
    • pp.114-124
    • /
    • 2014
  • Purpose: The purpose of this study was to explore the effects of the 8-weeks back pain management program (consisted of exercise and education for back pain) in patients with chronic low back pain. Methods: A total of 20 subjects who visited the pain clinic in a university hospital were randomly assigned either to a experimental or a control group. Ten subjects in the experimental group carried out the back pain management program for 8 weeks, and 10 in the control group did not. Results: After the back pain management program, back pain and disability were significantly reduced, and back pain management behavior and back muscle strength were significantly increased in the experimental group. However, radiating pain and flexibility were not significantly changed after the back pain management program. Conclusion: Findings of this study indicated that the 8-weeks back pain management program had favorable effects on back pain, degree of disability, back pain management behavior, and back muscle strength in patients with chronic low back pain. Future research needs to examine the optimal intensity and frequency of back muscle strengthen exercise, and the lasting effects of education for back pain.

Should We Start Treating Chronic Low Back Pain with Antibiotics Rather than with Pain Medications?

  • Birkenmaier, Christof
    • The Korean Journal of Pain
    • /
    • v.26 no.4
    • /
    • pp.327-335
    • /
    • 2013
  • For those of us who have read the 2 recently published articles by a Danish - British research group, it might appear that we are observing an impending paradigm shift on the origins of chronic low back pain. The results of this research indicate, that chronic low back pain associated with bone marrow edema in vertebral endplates that are adjacent to herniated intervertebral discs may be caused by infections with anaerobic bacteria of low virulence. According to these articles, treatment with certain antibiotics is significantly more effective than placebo against this low back pain. If these findings are to hold true in repeat studies by other researchers, they stand to fundamentally change our concepts of low back pain, degenerative disc disease and in consequence the suitable therapies for these entities. It may in fact require pain specialists to become familiarized with the details of antibiotic treatments and their specific risks in order to be able to properly counsel their patients. While this seems hard to believe at first glance, bacteria have been implicated in the pathogenesis of other conditions that do not primarily impose as infectious diseases such as gastric ulcers. While the authors refer to a few previous studies pointing into the same direction, the relevant research is really only from one group of collaborating scientists. Therefore, before we start prescribing antibiotics for chronic low back pain, it is imperative that other researchers in different institutions confirm these results.

급·만성 요통 환자군의 통증, 기능장애, 정서 상태 및 교육 요구 (Pain, Disability, Emotional Status and Educational Needs between Acute and Chronic Low Back Pain Groups)

  • 안지혜;김희승;김혜진
    • Journal of Korean Biological Nursing Science
    • /
    • v.21 no.1
    • /
    • pp.77-84
    • /
    • 2019
  • Purpose: This study aimed to identify pain, disability, anxiety, depression and educational needs between acute and chronic low back pain groups. Methods: A total of 153 patients aged 18 to 64, recruited from S-neurosurgical clinic for low back pain in Gyeonggi-do. Out of 153 subjects, 70 were Acute Low Back Pain (ALBP) group and 83 were Chronic Low Back Pain (CLBP) group. The collected data was analyzed using the SAS System V 9.4 program by chi-square test/Fisher's exact test and t-test. Results: The pain and disability scores were higher in ALBP group while the depression score was higher in CLBP group. The educational needs score in the area for the time for lumbar operation was higher in CLBP group. In the Low Back Pain (LBP) treatment management, ALBP group visited clinic (60.0%) most frequently and CLBP group visited both clinic & traditional medicine (66.3%) regularly. Conclusion: In order to minimize the progression from acute to chronic LBP, it is necessary for patients who visited the clinic to be accompanied with an education program that reflects educational needs of patients and with proven alternative therapy.

심인성(心因性) 만성요통(慢性腰痛) 환자에 대해 한방치료(韓方治療)와 정신요법(精神療法)을 적용한 1례 (A Case Report of the Herbal Medication Treatment and Psychotherapy for a Patient with Psychogenic Chronic Low Back Pain)

  • 김지형;한창;류기준;안건상;권승로;조재희
    • 동의신경정신과학회지
    • /
    • v.19 no.3
    • /
    • pp.299-307
    • /
    • 2008
  • In this study, we treated a patient with psychogenic chronic low back pain for 2 years with herbal medication treatment and psychotherapy. The case was a 17 years old female patient complained chronic low back pain for a long time. She received the spine operation, epidural injection, many kind of oriental medicine treatment about low back pain, but there was no improvement. We diagnosed her pain as a psychogenic pain disorder, and treated her with herbal medication for decrease her stress, and did a psychotherapy such as the progressive muscle relaxation, and counseled about trouble with her family. After treatment, her chronic low back pain was improved so much. We think that the herbal medication treatment and psychotherapy can be helpful to treat patients who have psychic and physical disorders.

  • PDF

급성 요통환자와 만성 요통환자에서 척추주변근육의 정량적 분석 (A Qualitative Analysis on Paraspinal Muscles in Patients with Acute Low Back Pain and Chronic Low Back Pain)

  • 정대근
    • 디지털융복합연구
    • /
    • v.11 no.11
    • /
    • pp.613-620
    • /
    • 2013
  • 본 연구는 MRI를 사용하여 급성 및 만성 요통환자들의 척추주변근육에 나타나는 변화를 정량적으로 측정 및 분석하고 이를 토대로 요통에 대한 진단 및 치료에 임상적 기초자료를 제공하고자 2012년 8월부터 2013년 1월까지 내원한 환자로 요통이 발생한지 12주 이내의 급성요통환자 20명과 요통이 발생한지 12주 이상 경과된 만성 요통 환자 20명을 대상자로 선정하여 MRI를 촬영한 후 측정하여 비교하였다. 왼쪽과 오른쪽의 지방변성율에서는 척추세움근과 뭇갈래근에서 유의한 차이가 있었고(p<.001), 전체 집단 간 지방변성율 비교에서도 급성요통군과 만성요통군간의 큰허리근, 척추세움근, 뭇갈래근에서 유의한 차이가 있었다(p<.001). 사후검정에서는 급성요통군과 만성요통군에서 각각 다열근과 척추세움근의 지방변성율이 가장 높은 것으로 나타났다. 만성 요통군에서 다열근과 척추기립근의 심한 지방율의 변성은 척추의 안정성을 유지하는 근육의 근력 약화로 나타나는데 본 연구결과를 토대로 급성 만성요통환자들의 재활운동과정에 있어서 뭇갈래근, 급성 요통군은 뭇갈래근과 큰허리근에 더 주의를 기울이고 재활운동 선정 과정에서 중요한 자료와 근거를 제시 할 수 있으라고 사료된다.

만성 허리통증환자의 운동프로그램에 대한 효과 (Effect of Exercise Programs for Chronic Low Back Pain Patients : A Systematic Review)

  • 강권영;김은경;홍기훈
    • 대한물리치료과학회지
    • /
    • v.18 no.2
    • /
    • pp.1-8
    • /
    • 2011
  • Background: The purpose of this study was to systematic review the effect of exercise programs for chronic low back pain patients. We needs systematic development of low back pain exercise program to reduce economic cost further doing great service to public health promotion. Methods: We searched to the effects of exercise programs for chronic low back pain patients by Dankook University electronic library databases of DBPIA, KSI KISS, CINAHL, MEDLINE and PEDro combined with a hand search of papers published in relevant journals. Any type of study relevant to the topic published during time period from 1970 to 2007 was included. Results: The literature search identified 30 studies. 1.Performing the flexion exercise increased abdominal muscle activity but acute herniated intervertebral disc should be avoided. 2.The general lumbar extension exercise used lumbar extension machine and the muscle power increases, significant probability the change. 3.The spinal segments exercise for the patients offered significant efficacy and appeared to be a reasonable therapeutic option. 4.Spinal stabilization exercises appear to improve trunk endurance and balance to patients with chronic low back pain. This exercise programs had effective decrease pain and disability. Conclusion: The review suggests that although the exercise programs for chronic low back pain patients, and we expected the efficacy of the exercise programs for chronic low back pain patients used in this study should be further investigated in a long period study and objective outcomes.

  • PDF

중년여성이 경험하는 만성요통의 통증정도와 우울 (A Study on the Relationship Between Level of Pain and Depression in Middle-aged Women with Chronic Low Back Pain)

  • 서복남;함영림;안양희
    • Journal of muscle and joint health
    • /
    • v.14 no.2
    • /
    • pp.118-126
    • /
    • 2007
  • Purpose: The purpose of the study was to examine the relationship between the level of pain and depression in middle-aged women with chronic low back pain. Method: A descriptive correlational research design was utilized. The participants were middle-aged women who visited two back pain clinics in Wonju from October, 2006 through February, 2007. A total of 195 low back pain patients agreed to participate in this study, and data from 177 were analyzed. Data was collected using a questionnaire which included Visual Analogue Scale (VAS), Center Epidemiology Studies Depression Scale(CES-D), and general characteristics. Descriptive statistics, t-test, ANOVA and Pearson correlation coefficients were utilized in the analysis. Results: The mean score for chronic low back pain as measured by the VAS was 4.99 (SD 2.41). The average score for depression as measured by the CES-D was 22.00 (SD 10.18). There was a significant relationship between the level of pain and depression (r=.372, p<.001). Conclusion: Nurses need to take into consideration depression of middle-age women with chronic low back pain for assessment and intervention. In the future, developing a strategy for integrating intervention of pain-control and depression will be needed in nursing care for middle-aged women with chronic low back pain.

  • PDF

Repetitive Transcranial Magnetic Stimulation to Treat Depression and Insomnia with Chronic Low Back Pain

  • Park, Eun Jung;Lee, Se Jin;Koh, Do Yle;Han, Yoo Mi
    • The Korean Journal of Pain
    • /
    • v.27 no.3
    • /
    • pp.285-289
    • /
    • 2014
  • Transcranial magnetic stimulation (TMS) is a noninvasive and safe technique for motor cortex stimulation. TMS is used to treat neurological and psychiatric disorders, including mood and movement disorders. TMS can also treat several types of chronic neuropathic pain. The pain relief mechanism of cortical stimulation is caused by modifications in neuronal excitability. Depression is a common co-morbidity with chronic pain. Pain and depression should be treated concurrently to achieve a positive outcome. Insomnia also frequently occurs with chronic lower back pain. Several studies have proposed hypotheses for TMS pain management. Herein, we report two cases with positive results for the treatment of depression and insomnia with chronic low back pain by TMS.